| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.77 | $284.77 | $284.77 | |
Aetna
| Professional | $265.45 | $281.02 | $303.36 | |
CareSource
| Facility | $369.08 | $744.13 | $964.62 | |
CareSource
| Professional | $358.29 | $397.47 | $681.37 | |
Cigna
| Facility | $315.25 | $315.25 | $665.40 | |
Cigna
| Professional | $230.13 | $315.25 | $2,708.55 | |
Highmark BCBS
| Professional | $385.85 | $385.85 | $385.85 | |
United
| Professional | $210.95 | $274.99 | $458.32 |